Heather Harrison, D.O., PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5960238-1204 Issued in UT

Legal business name

HEATHER HARRISON, D.O., PLLC

Practice address

1959 N State St
Provo, UT 84604-1012

Phone

(801) 373-2001

Fax

(801) 373-4748

NPI assigned

Oct 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Heather R. Harrison, D.O.

Title

Physician/Owner

Phone

(801) 373-2001

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1881881993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 N STATE ST",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041012",
            "telephone_number": "801-373-2001",
            "fax_number": "801-373-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 N STATE ST",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041012",
            "telephone_number": "801-373-2001",
            "fax_number": "801-373-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER HARRISON, D.O., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "801-373-2001",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "5960238-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Provo, UT
• Providers in Provo, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.